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Menopause Symptom Score: A Free, Validated Severity Calculator

Rate 11 common menopause symptoms. Get a total score, severity tier, and a plain-English read on whether HRT or other treatment makes sense for you. Based on the published Menopause Rating Scale (MRS) used by clinicians worldwide.

Physical symptoms

Items 1-4
1. Hot flashes & sweating Sudden waves of heat, flushing, or night sweats.
—/4
2. Heart racing or fluttering Palpitations, pounding heart, skipped beats.
—/4
3. Trouble sleeping Hard to fall asleep, waking through the night, or waking up too early.
—/4
4. Joint & muscle aches Stiffness, soreness, or pain in joints and muscles.
—/4

Mental & emotional symptoms

Items 5-8
5. Low mood Feeling down, sad, or losing interest in things you used to enjoy.
—/4
6. Irritability Easily upset, snapping at people, feeling on edge.
—/4
7. Anxiety Feeling panicky, restless, or unable to settle.
—/4
8. Mental exhaustion & brain fog Memory lapses, trouble concentrating, feeling worn out.
—/4

Sexual & urinary symptoms

Items 9-11
9. Changes in sex drive Lower desire, less satisfaction, or less sexual activity than before.
—/4
10. Bladder problems Needing to pee more, leaking, urgency, or recurrent UTIs.
—/4
11. Vaginal dryness Dryness, burning, or discomfort during sex.
—/4

Your answers are saved to this browser only. Nothing is sent to ClearedRx or stored on any server.

What your score means

A read on each severity tier — and what's actually worth doing about it.

Total 0-4 · None to very mild

You're either pre-symptomatic or in a calm stretch.

Your symptoms are minimal right now. That can change quickly — perimenopause is famously up-and-down. If your scores rise, retake this tool. If sleep, mood, or hot flashes start interfering with your daily life, that's the moment to bring it up with a doctor.

Total 5-8 · Mild

Real symptoms, but you're managing.

Lifestyle changes (consistent sleep, regular exercise, less alcohol, more strength training) can move the needle here. HRT is also a reasonable option if you'd rather be proactive than wait for things to get worse — especially because starting HRT earlier in the menopause transition tends to work better than starting late.

Total 9-15 · Moderate

This is where HRT earns its keep.

HRT is the most effective treatment for menopause symptoms in this range — it's not even close. The 2022 NAMS Position Statement supports starting HRT for healthy women under 60 who are within 10 years of menopause when their symptoms are bothersome. Lifestyle changes still help, but on their own they usually aren't enough at this severity.

Total 16+ · Severe

Your quality of life is being meaningfully affected.

Severe symptoms aren't something to push through. HRT (or, if you can't take HRT, non-hormonal alternatives like fezolinetant or low-dose SSRIs) can substantially reduce these scores within a few weeks. A board-certified MD review takes 24 hours through ClearedRx. There's no reason to wait.

This tool doesn't diagnose anything. It gives you and your doctor a shared, validated way to talk about how bad your symptoms actually are.

Want a doctor to look at this?

Bring your score into a 3-minute consultation. A ClearedRx Medical Network physician reviews your intake within 24 hours and recommends a specific treatment plan — HRT or otherwise. From $19/mo, no insurance needed.

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Source & methodology

Why this tool, and where the numbers come from.

The Menopause Rating Scale (MRS) was first published in 1996 by the Berlin Center for Epidemiology and Health Research as a way to measure how badly menopause symptoms affect a woman's life. It has since been validated in dozens of countries and translated into over 25 languages. It is one of the most widely used menopause symptom scales in clinical research and in real-world OB-GYN practice.

The 11 questions on this page are the standard MRS items, rewritten in plain English so you don't need a medical dictionary. Each item is rated 0 to 4. The total score (0-44) and the three subscale scores (physical, mental, sexual/urinary) match the published instrument exactly. Severity tiers come from the validation literature:

The treatment guidance reflects the 2022 NAMS Hormone Therapy Position Statement, which supports HRT for healthy women under 60 (and within 10 years of menopause) whose symptoms are bothersome. NAMS is the major North American clinical society for menopause medicine.

Citations

Disclaimer. This calculator is a symptom-tracking tool, not a medical diagnosis. It does not replace a conversation with a licensed doctor. ClearedRx's Medical Network — board-certified MDs licensed in all 50 states — reviews each patient's intake before any prescription is written.

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<iframe src="https://clearedrx.com/tools/menopause-symptom-score/?embed=true" width="100%" height="1200" frameborder="0" title="Menopause Symptom Score Calculator" loading="lazy"> </iframe>

Tip: bump the height to 1400px if your site is narrow — the panel stacks vertically below ~960px wide.

FAQ

Common questions about this tool

What is the Menopause Rating Scale (MRS)?

It's a clinical questionnaire used worldwide to measure how severe menopause symptoms are. It rates 11 symptoms across three groups — physical, mental, and urogenital — on a scale of 0 to 4 each, for a total of 0-44. It's one of the most widely used menopause scales in research and practice.

Is this calculator a medical diagnosis?

No. The MRS is a symptom-severity tracker, not a diagnostic test. It helps you and your doctor talk clearly about how badly menopause is affecting your life. The decision to treat — with HRT or anything else — still belongs in a clinical conversation.

What score means I should consider HRT?

The published tiers put 9-15 in the moderate range and 16+ in the severe range. NAMS guidelines support starting HRT for healthy women under 60 (within 10 years of menopause) when symptoms are bothersome — which usually means moderate or severe. The decision is always individual.

Are my answers stored anywhere?

Your answers stay on your device. They're saved to your browser's local storage so you can come back to them later. Nothing is sent to ClearedRx or to any server.

Can I share my result with my doctor?

Yes. Use the "Copy result text" button to copy a clean summary of your scores to your clipboard, or use "Print or save as PDF" to make a printable version. Either works for an OB-GYN visit, a primary care appointment, or a telehealth intake.